Organization Active NPI

Brock LLC

Doing business as Ascension Chiropractic

  • Clinic/Center
  • Southgate, MI
National Provider Identifier
1619649738
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BROCK LLC
Doing business as
Ascension Chiropractic
Practice address
13685 Eureka Rd
Southgate, MI 48195-1332
Phone
(734) 984-3620
NPI assigned
Sep 28, 2021
Last updated
Feb 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brandon Brock, DCNPI 1033723622
Title
Owner
Phone
(734) 301-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13685 Eureka Rd
Southgate, MI 48195-1332

Mailing address

31430 Lavender Dr
Brownstown, MI 48173-8743
Phone (734) 301-5120

Other names 1

  • Ascension Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

18235 Krause St
Riverview, MI 48193

13685 Eureka Rd
Southgate, MI 48195
Phone (734) 984-3620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1619649738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31430 LAVENDER DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481738743",
            "telephone_number": "734-301-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13685 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951332",
            "telephone_number": "734-984-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-301-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.